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. 2022 Aug 16;15(8):1007. doi: 10.3390/ph15081007

Table 2.

Cardiotoxicity of the most common treatment protocols in different hematologic malignancies (according to National Cancer Comprehensive Network, www.nccn.org, accessed on 19 June 2022).

Type of Malignancy Protocols Cardiotoxicity
1. Hodgkin Lymphoma 1st line
1. ABVD: Doxorubicin, Bleomycin, Vinblastine, Dacarbazine
2. B + AVD: Brentuximab Vedotin, Doxorubicin, Vinblastine, Dacarbazine
3. BEACOPP escalated: Bleomycin, Etoposide, Doxorubicin, Cyclophosphamide, Vincristine, Procarbazine, Prednisolone
Heart Failure, heart attack, arrhythmias, pericardial effusion, peri-/myocarditis, hyper/hypotension, ischemia
2. Non-Hodgkin Lymphomas 1st line
1. R-CHOP: Rituximab, Cyclophosphamide, Vincristine, Prednisolone
2. R-da (dose adjusted) EPOCH: Rituximab, Etoposide, Vincristine, Doxorubicin, Cyclophosphamide, Prednisolone
3. CODOX-M/IVAC + R: Cyclophosphamide, Vincristine, Doxorubicin, High dose Methotrexate/ Ifosfamide, Etoposide, High Dose Cytarabine + Rituximab
4. R-Hyper—CVAD: Rituximab, Cyclophosphamide Vincristine, Doxorubicin, Dexamethasone/High Dose Methotrexate, High Dose Cytarabine
5. BR: Bendamustine, Rituximab
Arrhythmias, ischemia, heart failure, peri-/myocarditis, hyper/hypotension
3. Multiple Myeloma 1st line
1. VRd: Bortezomib, Lenalidomide, Dexamethazone
2. DRd: Daratumumab, Lenalidomide, Dexamethazone
3. CRd: Carfilzomib, Lenalidomide, Dexamethasone
4. VCd: Bortezomid, Cyclophosphamide, Dexamethazone
5. VAd: Bortezomib, Doxorubicin, Dexamethasone
Arrhythmias, atrial fibrillation, heart failure, myocarditis, hypertension
4. Acute Promyelocytic Leukemia 1st line
1. ATRA + Arsenic Trioxide (+/−Idarubicin, +/−Gemtuzumab Ozogamicin)
Pleural or pericardial effusion,
Arterial and venous thrombosis, heart failure, QT prolongation
5. Acute Myeloid Leukemia 1. Idarubicin + Cytarabine (+/−Midostaurin, +/−Gemtuzumab Ozogamicin)
2. Azacitidine + Venetoclax
3. LDAC: Low dose Cytarabine + Venetoclax
Heart failure, arrhythmias, angina, pericarditis with effusion, QT prolongation, rarely edema, heart failure and myocardial infarction rarely induced by Venetoclax
6. Acute Lymphoblastic Leukemia 1. Hyper-CVAD +/− L-Asparaginase +/− TKI (Imatinibe, Dasatinib, Nilotinib, Bosutinib, Ponatinib)
CVAD: Cyclophosphamide, vincristine, doxorubicin, dexamethasone
Heart failure and/or
Myocarditis, pericardial effusion, hypertension, arrhythmia, QT interval prolongation,
pulmonary arterial hypertension
arrhythmias, hypertension,
arterial thrombosis
7. Chronic Lymphocytic Leukemia 1. Ibrutinib
2. Venetoclax + Obinutuzumab
3. Bendamustine + Rituximab
4. FCR: Fludarabine, Cyclophosphamide, Rituximab
Atrial fibrillation, arrhythmias, hypotension, peri-/myocarditis